Example
###------------------ Case Specifics ------------------### (add case specifics here) ###------------------Subject ------------------------- ### **Primary Subject:** ` ` **Address:** ` ` **Date of Birth:** ` ` **Claimants Physical Description:** ` ` **Injury:** ` ` **Restrictions:** ` ` **Claim Number:** ` ` **Case Contact:** ` ` **Scheduled:** ` ` **Assigned PI:** ` ` **Surveillance Working Days:** ` ` **Surveillance Hours Per Day:** ` ` **Case Type:** ` ` ###------------------ Inv. Notes ------------------### (add notes here) ###------------------ Case Manager Notes------------------### (add notes here)